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    OpenPayerNPI Medicare & MedicaidDaniel Peraza
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    Daniel Peraza — Billing Profile & Reimbursement Data

    NPI 1073635355 · Claremont, NH · Dermatology Physician

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    Daniel Peraza is a dermatology physician provider located in Claremont, New Hampshire. This profile covers 38 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Peraza
    Address252 Broad St
    CityClaremont
    StateNH
    ZIP03743
    TaxonomyDermatology Physician
    NPI EnumeratedApril 6, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    DANIEL PERAZA (Claremont, NH), a Dermatology Physician whose NPI was enumerated 2007-04-06 (~19 years ago), reports $1.1M in lifetime Medicare revenue and has no Medicaid billing on file, making this effectively a Medicare‑centric billing profile. The long tenure (NPI enumerated ~19 years ago) indicates an established practice footprint in the market, but the absence of Medicaid activity means payer diversification is minimal.

    Revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 61.9% of this provider's total Medicare revenue, with J3245 alone contributing $414.2K (39.0% of Medicare revenue). This concentration indicates that a single biologic therapy (J3245) is the dominant revenue driver, and fluctuations in access, pricing, or utilization of that drug would materially affect total Medicare revenue.

    The code mix points to a hybrid ambulatory medical‑and‑procedural dermatology practice: high volumes of evaluation & management visits (99213 and 99214) alongside lesion destruction and biopsy codes (17000, 11102, 17003, 17110). 99213 generates $162.7K (15.3% of Medicare revenue) and 99214 generates $80.7K (7.6%), suggesting the practice combines routine follow‑up and problem‑focused visits with substantial in‑office procedures.

    Several codes show very high national standing for volume: 99213 is labeled an "extreme outlier" (100th percentile, ranks #361 of 457151 providers) and 99214 is "notably above typical" (97th percentile). Those E/M outlier labels indicate this provider sees established patients at far higher volumes than typical peers nationally, which aligns with a high‑throughput outpatient dermatology clinic.

    Procedural dermatology is also an outlier area: 17000 is an "extreme outlier" (99th percentile) with $68K revenue, 11102 is an "extreme outlier" (98th percentile) with $59.1K revenue, and the add‑on 17003 is "notably above typical" (99th percentile) with $26.1K. These labels and dollar amounts together describe unusually high rates of lesion destruction and biopsy relative to national peers, consistent with a practice that treats a large volume of premalignant/malignant skin lesions.

    J3245 (tildrakizumab) is large in dollar terms but only average in national rank: it contributes $414.2K and is ranked #107 of 225 providers nationally (50th percentile, described as "typical, unremarkable volume"). This contrast — dominant revenue share from a drug that is not a national high‑volume outlier — suggests local prescribing/administration patterns (or a concentrated patient panel on biologic therapy) rather than national market leadership for that specific drug.

    The profile includes multiple radiation planning/dosimetry codes (77280, 77290, 77261, 77300 and the now‑deleted 77401) with modest dollars and mostly "typical, unremarkable" percentile characterizations. Their presence at measurable but not dominant levels ($52.4K for 77280, $28.9K for 77290, $5.8K for 77300) may reflect occasional involvement with radiation planning or billing relationships with radiation services rather than a primary radiation oncology practice.

    From a payer‑strategy and competitive risk perspective, the provider's reliance on Medicare ($1.1M and no Medicaid billing on file) and heavy revenue concentration in J3245 (39.0%) plus the high E/M and procedural volumes flagged as outliers create both negotiating leverage around office visit and biologic administration reimbursement and exposure to utilization shifts. For payers and analysts, this profile signals a high‑volume dermatology practice with concentrated drug revenue and above‑typical procedural throughput, warranting focused review for contract design and utilization management initiatives.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg3,800$110$414.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,580$60$162.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…910$90$80.7K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,700$40$68K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.830$70$59.1K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.230$220$52.4K
    77401Deleted effective Jan. 1, 2026.970$30$33K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…670$50$30.1K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…80$380$28.9K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…5,230$10$26.1K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32452104,000$110$439.2K
    99214353,150110$80$13.2K
    77401110140$30$12.9K
    170001120190$40$11.4K
    111021100120$60$9.6K
    1711038110110$70$9.4K
    12032124020$180$7.4K
    9921312,90070$50$6.9K
    1130152040$70$6.5K
    17004285030$110$6.4K

    Showing 1–10 of 38

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Daniel Peraza, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew ZipoliMAMOHS-Micrographic Surgery Physician$1.1M$0
    Jose E Peraza Md PLLCNHDermatology Physician$0$870.9K
    Jose PerazaNHDermatology Physician$378.5K$0
    Jose E. PerazaNHDermatology Physician$0$186.6K
    Caleb HowardNHMedical Physician Assistant$167K$0
    Ashwin KumarNHMedical Physician Assistant$166.5K$0
    Kira SchachingerNHMedical Physician Assistant$86.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Daniel Peraza, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Developmental Services Of Sullivan County, Inc.NHChild Intellectual and/or Developmental Disabilities Respite Care$0$139.4M
    Valley Regional Hospital Inc.NHCritical Access Hospital$0$10M
    Colin B Boswell Dds PCNHPediatric Dentistry$0$5.2M
    Golden Cross Ambulance IncNHAmbulance$1.2M$3.5M
    Claremont School DistrictNHLocal Education Agency (LEA)$0$3M
    Sullivan County Oral Health CollaborativeNHDental Clinic/Center$0$892.1K
    Valley Regional Hospital, Inc.NHUrgent Care Clinic/Center$0$875.8K
    Valley Regional Hospital, IncNHFamily Medicine Physician$0$782K
    Samuel GiveenNHOptometrist$120.2K$544.2K
    Tlc Family Resource CenterNHPublic Health or Welfare Agency$0$611.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Hampshire Distribution
    Daniel Peraza — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire